Skull base oncocytoma presenting as epistaxis: an unusual presentation of a rare tumour successfully managed with active surveillance

Oncocytomas are rare tumours, usually occurring in the salivary glands, but may very occasionally occur in other sites. The authors present a skull base oncocytoma as a rare cause of spontaneous epistaxis. Following diagnosis through imaging and intranasal biopsy, the patient opted for annual survei...

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Bibliographic Details
Published in:BMJ case reports 2012-02, Vol.2012 (feb07 1), p.bcr1020115040-bcr1020115040
Main Authors: Patil, Sachin, Trinidade, Aaron, Mercer, Lauren, Ashworth, Paul, Lonsdale, Ray, Philpott, Carl
Format: Article
Language:English
Subjects:
Adenoma, Oxyphilic - diagnosis
Adenoma, Oxyphilic - pathology
Aged
Diagnosis, Differential
Epistaxis
Epistaxis - diagnosis
Europe (West)
Histology
Humans
Male
Medical imaging
Nose
Pituitary gland
Rare Disease
Sinuses
Skull Base Neoplasms - diagnosis
Skull Base Neoplasms - pathology
Surveillance
Tomography, X-Ray Computed
Tumors
White
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Summary:Oncocytomas are rare tumours, usually occurring in the salivary glands, but may very occasionally occur in other sites. The authors present a skull base oncocytoma as a rare cause of spontaneous epistaxis. Following diagnosis through imaging and intranasal biopsy, the patient opted for annual surveillance instead of active treatment and made a full recovery nonetheless. Skull base oncocytoma is a rare tumour that may result in otherwise common symptomatology. While excision is the mainstay of management, active surveillance may be a viable alternative for select patients.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.10.2011.5040